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S AN J O A Q U I N Environmental Health Department <br />r.-OUNTY <br />L.j growl ;•,c <br />Corrective Action Statement <br />RE: September 22, 2020, Hazardous Waste inspection report <br />For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br />describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Claudia Muro at (209) 561-8923 or cmuro@sjgov.org. <br />Facility name: LOCKEFORD PLANT MATERIAL CNTR <br />Facility address: 21001 N ELLIOTT RD <br />CERS ID: 10183627 <br />PR0539972 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: CLAUDIA MURO <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />leiViolation #110 -Failed to keep signed copy of manifests from the designated facility for three years. <br />❑ This violation was corrected k31 This violation will be corrected by (date): <br />Supporting documents included / <br />actions taken or will be taken to correct violation: <br />e- 'M K S M I` r. <br />Violation #113 - Failed to keep copies of consolidated manifesting receipts for three years. <br />❑ This violation was corrected kq This violation will be corrected by (date): <br />supporting documents included / ` I 1 <br />Describe actions taken or will be ken to correct violation:/ <br />!' � h s„ / �a ns G �csk vo_ <. ei .n><s <br />Page 2 of 2 <br />Rev. 9/16!2020 <br />/o /3 �flaa 7 <br />v. �e /ra.f4n <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD <br />